Ireneo Guiking Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

843646 Issued in NV

Practice address

8290 W Sahara Ave Ste 152
Las Vegas, NV 89117-8932

Phone

(702) 425-0172

NPI assigned

Jul 22, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• First Class Home Health LLC Home health agency, Las Vegas, NV, CCN 297330
• Acre Health Services, LLC Home health agency, Las Vegas, NV, CCN 297240
• Del Pilar Health Systems, LLC Home health agency, Las Vegas, NV, CCN 297334
• Radmed Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297267
• G & G Home Health Care Services Home health agency, Las Vegas, NV, CCN 297182
• Galaxy Hospice, Inc Hospice, Las Vegas, NV, CCN 291546

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Advocacy Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1700642907

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocacy Medical Group LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1356113732
  Medicare reassignment NPD Authorized official
• Jam Healthcare Inc

  • Family Medicine Physician
  • Reno, NV
  • NPI 1942894993
  Medicare reassignment NPD
• Advocacy Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1700642907
  NPD Authorized official
• Healthy You Medical Group LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1659143188
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acre Health Services, LLC.

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1952724874
  Care Compare affiliation
• Del Pilar Health Systems LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1649983636
  Care Compare affiliation
• First Class Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1225783236
  Care Compare affiliation
• G & G Home Health Care Services LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1518296243
  Care Compare affiliation
• Galaxy Hospice, Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1073925533
  Care Compare affiliation
• Radmed Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1598259731
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1497328850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 HERSHEY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340115",
            "telephone_number": "702-425-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 W SAHARA AVE STE 152",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178932",
            "telephone_number": "702-425-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9444 Hershey Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891340115",
            "country_code": "US",
            "telephone_number": "702-425-0172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 S Eastern Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891693345",
            "country_code": "US",
            "telephone_number": "725-204-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIKING",
        "first_name": "IRENEO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "843646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Guillebeau
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• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.